Active NPIIndividual provider

Dr. Jack Abboudi, MD

Orthopaedic Surgery, Hand Surgery in Bryn Mawr, Pennsylvania

NPI Number1790746162
Practice location
825 Old Lancaster RD, Bryn Mawr, PA 19010-3231
Fax
267-479-1321
Last updated
November 3, 2021

Jack Abboudi is an Orthopaedic Surgery, Hand Surgery based in Bryn Mawr, PA. Jack Abboudi practices in Bryn Mawr, PA and has the professional credentials of MD. The NPI Number for Jack Abboudi is 1790746162 and holds a License No. 308173 (NY). The current practice location address for Jack Abboudi is 825 Old Lancaster RD, Bryn Mawr, PA 19010-3231 and can be reached out via phone at 800-321-9999 and via fax at 267-479-1321.

Provider Profile Details

NPI Number
1790746162
Provider Name
Jack Abboudi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Old Lancaster RD, Bryn Mawr, PA 19010-3231
Phone Number
800-321-9999
Fax Number
267-479-1321
Primary Taxonomy
Orthopaedic Surgery, Hand Surgery · 207XS0106X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2006
Last Update Date
November 3, 2021
Certification Date
November 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Old Lancaster RD
Bryn Mawr, PA 19010-3231
Zip
19010-3231
Phone Number
800-321-9999
Fax Number
267-479-1321
Bryn Mawr, PA 19010Get directions →

Provider Business Mailing Address Details

Address
833 Chestnut St Ste 502
Philadelphia, PA 19107-4405
City
Philadelphia
State
PA
Zip
19107-4405
Phone Number
800-321-9999
Fax Number
267-339-3761

License Information

License Number (1)
308173
License State (1)
NY
Taxonomy (1)
Orthopaedic Surgery · 207X00000X
License Number (2)
25MA09473400
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery, Hand Surgery · 207XS0106X
License Number (3)
308173
License State (3)
NY
Taxonomy (3)
Orthopaedic Surgery, Hand Surgery · 207XS0106X
License Number (4)
MD059555L
License State (4)
PA
Taxonomy (4)
Orthopaedic Surgery, Hand Surgery · 207XS0106X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jack Abboudi, MD?

The NPI number of Dr. Jack Abboudi, MD is 1790746162. It was assigned on March 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack Abboudi, MD?

Dr. Jack Abboudi, MD is registered under the primary taxonomy Orthopaedic Surgery, Hand Surgery (code 207XS0106X), licensed in NY under license number 308173.

Where does Dr. Jack Abboudi, MD practice?

The practice location is 825 Old Lancaster RD, Bryn Mawr, PA 19010-3231. The office can be reached at 800-321-9999 (phone) or 267-479-1321 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790746162 directly on the NPPES registry website.

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